Individual provider Active NPI

Kaitlyn Mae Jones, CNM

  • Advanced Practice Midwife
  • Albuquerque, NM
National Provider Identifier
1053914945
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
812 Issued in NM
Practice address
4630 Eubank Blvd NE
Albuquerque, NM 87111-2552
Phone
(800) 230-7526
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 65232 NM
Women's Health Nurse Practitioner 363LW0102X 65232 NM
Advanced Practice Midwife 367A00000X 812 NM Primary

Addresses

Primary practice location

4630 Eubank Blvd NE
Albuquerque, NM 87111-2552

Mailing address

7708 4TH St NW
Los Ranchos, NM 87107-6510
Phone (505) 924-2229

Other practice location 1

7708 4th St NW
Los Ranchos, NM 87107-6510
Phone (505) 924-2229

Other identifiers 1

IdentifierTypeStateIssuer
42855829MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000614 UT Practitioner - Certified Nurse Midwife (CNM) 9335556265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
812NMMDAcupuncturist
65232NMMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Feb 15, 2021 Accepting new patients
University of Utah Adult Services CurrentSince Feb 15, 2021 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Dar a Luz Birth & Health Center PastSince May 1, 2022 Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients
Dar a Luz Birth & Health Center PastSince May 1, 2022 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1053914945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076510",
            "telephone_number": "505-924-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112552",
            "telephone_number": "800-230-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7708 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Los Ranchos",
            "state": "NM",
            "postal_code": "871076510",
            "country_code": "US",
            "telephone_number": "505-924-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KAITLYN",
        "middle_name": "MAE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "65232",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "65232",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42855829",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.